城市居民自杀流行学研究

Epidemiology of completed suicide in the Southern District of Changsha City

目的： 了解城市居民的自杀流行学情况。 方法： 调查长沙市南区１９８７～１９９７ 年人群自杀的流行学特征。 结果： 长沙市南区人群 １１ 年间平均自杀率为５５／１０ 万。在１９９０～１９９７ 年 ８ 年间， 自杀率有上升趋势 （ｙ＝ ４４７８＋ ０６６４ｘ， Ｐ＜ ０００１）。从自杀率的年龄分布看， 存在两个高峰， ２５～３４ 岁青年组及 ６５ 岁以上老年组， ６５ 岁以上老年人自杀率 （１８３／１０ 万） 为平均自杀率的３～４ 倍。男女自杀率比例为 ０９∶１。自杀方法以服毒、上吊、跳楼为主。自杀原因则以家庭、婚姻纠纷以及精神疾病为主。 结论： 社会经济环境可对自杀率起有重要作用。

Objective:To study the epidemiology of completed suicide in the Southern District of Changsha City in order to provide scientific data for prevention of suicide and further research. Method:The official death statistics were examined for the period 1987 1997. Results:There was a slight increase in suicide rate in the recent years with a mean of 5 5 per 100,000.Two peak age groups stood out:25 34 and 65 or over. The rate among the elderly was three to four times the overall mean figure. The male to female ratio was 0 9∶1.Common methods used included poisoning,hanging and jumping. Conclusion:The increase in suicide rate in recent years may reflect the role or socio economic development in triggering off the phenomenon of suicide.